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SITE INFORMATION AND CORRESPONDENCE_FILE 1
Environmental Health - Public
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EHD Program Facility Records by Street Name
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H
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HARLAN
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16500
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3500 - Local Oversight Program
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PR0545275
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SITE INFORMATION AND CORRESPONDENCE_FILE 1
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Last modified
2/3/2020 1:40:45 PM
Creation date
2/3/2020 12:20:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 1
RECORD_ID
PR0545275
PE
3528
FACILITY_ID
FA0005678
FACILITY_NAME
LATHROP SHELL
STREET_NUMBER
16500
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
LATHROP
Zip
95330
CURRENT_STATUS
02
SITE_LOCATION
16500 S HARLAN RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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Z 224 364 437 Z 224 364 436 <br /> US Postal Service US Postal Sery nn KK <br /> ReceipX!ff Pest, Mail Receipt f �tiAeeee ail- <br /> No Insurance verage ProA ed. No Insurance Coverage Provided. <br /> Do not use for International Mail See reverse Do not use for International Mail See reverse <br /> Sent to Sent to <br /> Street&Number Street&Number <br /> Post Office,State,&ZIP Code Post Office,State,&ZIP Code <br /> 1 <br /> Postage $ Postage $ <br /> Certified Fee Certified Fee <br /> Special Delivery Fee Special Delivery Fee <br /> Restrictad Delivery Fee LO Restricted Delivery Fee <br /> Return Receipt Showing to Return Receipt Showing to <br /> Whom&Date Delivered Whom&Date Delivered <br /> Return Receipt Shming to Wham, n Return Receipt Showing to Wham, ' <br /> Date,&Addressee's Address Q Date,&Addressee's Address <br /> a W TOTAL Postage&Fees $ 0 TOTAL Postage&Fees $ <br /> Pps ar ¢r}tt-E� CV) Postmark or Date <br /> 1 9 <br /> t LL <br /> tz26& U) <br /> LL <br /> IL 0- <br /> 3 <br /> d SENP.teWi'lt.m.3,�,Y, <br /> 0 ■Com 'for additional servic s. ash to receive the <br /> ■Comoura4b. folk services(for an <br /> � ■Print your name and gess on the reverse of i r rn this � ,d <br /> card to you. extrdTe�y._ S <br /> v Attach this form to the front of the mail or t ac if ° /�j{jj Imo!° o <br /> S) permit. <br /> i 1. ❑ s <br /> y ■W nte'Retum Receipt Requested'on the r e I he Ricl u2. <br /> ■The Return Receipt will show to whom the article was delivered and the date El Restricted Delivery N <br /> a delivered. a <br /> o Consult postmaster for fee. <br /> ami 3.Article Addressed to: (D <br /> 4a.s4rt�e Number o <br /> oG <br /> a BP OIL CO <br /> E 4b.Service Type <br /> v SCOTT T HOOTON ❑ Registered Certified ccr <br /> k N 295 SW 41ST STE N <br /> ❑ Express MailInsured 9 <br /> RENTON WA 98005-4931 ❑ Return Receipt for Merchandise ❑ COD <br /> Q J7.Date of livery .2 <br /> z <br /> � o <br /> f-_ 5. Received By: rintName) >` <br /> 8.Addressee's Address(Only if requested <br /> and fee i pa' m <br /> r <br /> 0 6.Signature: ssee or Agent) <br /> a X <br /> tll <br /> PS Form 3811, December 1994 Domestic Return Receipt <br />
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